Hierarchical condition category (HCC) coding is the foundation of the CMS\u2019s risk-adjustment payment model, which is intended to help better project future cost of care for certain Medicare Advantage, Medicaid and ACA members with acute or chronic conditions. HCC coding<\/strong><\/a> provides a complete picture of the member\u2019s health and is also critical in ensuring that they are effectively managed through a plan\u2019s care management program. An oversight of a substantiated diagnosis code means the member will not be flagged for intervention, nor will the plan be reimbursed at a rate appropriate for the care the member needs.<\/p>\n When properly applied, HCC codes can improve health outcomes, reduce costs for health plans, and ensure providers are accurately compensated for the appropriate level of care for high-risk members.<\/p>\n Download the white paper to learn ways health plans and providers can improve HCC coding, reimbursement and health outcomes.<\/p>\n Best Practices to Achieve HCC Compliance Hierarchical condition category (HCC) coding is the foundation of the CMS\u2019s risk-adjustment payment model, which is intended to help better project future cost of care for certain Medicare Advantage, Medicaid and ACA members with acute or chronic conditions. HCC coding provides a complete picture of the member\u2019s health and […]<\/p>\n","protected":false},"featured_media":163774,"template":"","resource_type":[30],"class_list":["post-161273","resources","type-resources","status-publish","has-post-thumbnail","hentry","resource_type-whitepapers"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.omegahms.com\/wp-json\/wp\/v2\/resources\/161273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.omegahms.com\/wp-json\/wp\/v2\/resources"}],"about":[{"href":"https:\/\/www.omegahms.com\/wp-json\/wp\/v2\/types\/resources"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.omegahms.com\/wp-json\/wp\/v2\/media\/163774"}],"wp:attachment":[{"href":"https:\/\/www.omegahms.com\/wp-json\/wp\/v2\/media?parent=161273"}],"wp:term":[{"taxonomy":"resource_type","embeddable":true,"href":"https:\/\/www.omegahms.com\/wp-json\/wp\/v2\/resource_type?post=161273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Download the Whitepaper<\/u><\/a><\/h4>\n","protected":false},"excerpt":{"rendered":"